The Right Ventricle, the Forgotten Chamber or Not.

Right ventricular (RV) enlargement or dysfunction evaluation is the cornerstone for diagnosis, prognostications, and treatment planning in a variety of cardiovascular conditions. Cardiac MR imaging (CMR) is the superior imaging modality for RV assessment, providing accurate and reproducible measurements of flow, volumes and ejection fraction. Besides tissue characterization and myocardial strain, novel features such as 4D flow, diffuse tensor imaging, RV coupling, deep learning, and computational fluid dynamics may improve our diagnostic capabilities. This article is an overview of the current state and addresses new advances and innovations in assessing RV involvement using CMR.